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General NPI Number Information
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NPI Number | 1407946676
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Entity Type | Organization
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Legal Business Name | CATHY J. BRUMBACK,, PH.D., P.C.
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 22787 US HIGHWAY 98 SUITE C2
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City | FAIRHOPE
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State | AL
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Zip | 36532-6329
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Country | US
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Telephone | 251-990-2305
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Fax |
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Provider Business Mailing Address
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Address Line | 22787 US HIGHWAY 98 SUITE C2
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City | FAIRHOPE
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State | AL
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Zip | 36532-6329
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Country | US
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Telephone | 251-990-2305
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CATHY J. BRUMBACK
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Credential | PH.D.
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Telephone | 251-990-2305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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